| NPI | 1972639755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 240298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA09020300) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2026-08-24 |